Heritage Medical Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD 10350 Issued in RI

Legal business name

HERITAGE MEDICAL ASSOCIATES PC

Practice address

131 Beechwood Ave
Pawtucket, RI 02860-5409

Phone

(401) 475-1999

Fax

(401) 475-6932

NPI assigned

Nov 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Peter Miskovsky, MDNPI 1497743330

Title

President

Phone

(401) 475-1999

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://arr01.service.vumc.org/FHIR-PRD/api/FHIR/R4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John P Miskovsky, MD

  • Internal Medicine Physician
  • Pawtucket, RI
  • NPI 1497743330
  Medicare reassignment Care Compare group NPD Authorized official
• Shahzad Mehr, MD

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1508344474
  Medicare reassignment Care Compare group NPD
• Lauralyn B. Cannistra, MD

  • Cardiovascular Disease Physician
  • Pawtucket, RI
  • NPI 1467413898
  Medicare reassignment NPD
• Joseph Vincent Meharg, M.D.

  • Pulmonary Disease Physician
  • Providence, RI
  • NPI 1972556066
  Medicare reassignment NPD
• Marc S Weinberg, M.D.

  • Nephrology Physician
  • Providence, RI
  • NPI 1558364604
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1003982547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BEECHWOOD AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605409",
            "telephone_number": "401-475-1999",
            "fax_number": "401-475-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BEECHWOOD AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605409",
            "telephone_number": "401-475-1999",
            "fax_number": "401-475-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "MISKOVSKY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-475-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD 10350",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "CT  0816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hearing Centers of Rhode Island
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• Nicole Helger, NP
• Christine V Herbert, M.D.
• John Herchuk
• Amy Herlihy
• Diane Hermenau
• Eduin Hernandez Canaca
• Karen Margoth Hernandez Gonzalez
• Alejandra Hernandez

• Internal Medicine Physician in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.